I saw this on the computer. Most physicians, at first glance, get this wrong. What is it?
I was reading ECGs on the system, and saw this: I immediately recognized it like I recognize a friend’s face. (OK, I’m…
An apparent SVT that does not persistently correct with adenosine
A middle-aged woman presented for abdominal pain. She was found to have a heart rate of 150. A 12-lead was recorded: There is a…
Is this STEMI? LVH? Early Repolarization?
This 60-something with diabetes presented with abdominal pain, nausea, and vomiting. We all know that diabetics with acute MI may present like…
RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?
This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith A very healthy 40 year-old…
Anaphylaxis and ST Elevation
This was written by one of our excellent 2nd year residents, Nathan Ansbaugh, with some editing and commentary by Smith. An otherwise healthy…
Sepsis with Pulmonary Edema and Elevated Right Sided Pressures
I was reading from our list of unconfirmed ED ultrasounds and saw a cardiac ultrasound with good LV function, but with B-lines of pulmonary…
Atrial Flutter. What else??
A 50-something presented with bradycardia. No other history is available. Here is the EKG: There is obvious atrial flutter.…
LAD occlusion or Early Repolarization?
This male in his 20’s presented with chest pain: There is sinus rhythm with a PVC. There is 2.5 mm ST elevation at the J-point, relative…
A patient with a ventricular paced rhythm and chest pain
One of my residents who just graduated saw this patient and sent the case: This 80-something patient presented with chest pain. He had…
Smith EKG lectures next year (2017)…..Schedule
I will be speaking at these conferences next year: 1. Oregon ACEP’s 2017 Annual Conference in SunRiver will be January 28th-…